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Olanzapine poisoning in patients treated at the National Poison Control Centre in Belgrade, Serbia in 2017 and 2018: a brief review of serum concentrations and clinical symptoms Cover

Olanzapine poisoning in patients treated at the National Poison Control Centre in Belgrade, Serbia in 2017 and 2018: a brief review of serum concentrations and clinical symptoms

Open Access
|Jul 2022

Figures & Tables

Figure 1

Total number of patients admitted to NPCC in 2017/18
Total number of patients admitted to NPCC in 2017/18

Figure 2

Olanzapine serum concentrations in patient 2 over four days of hospitalisation after the second admission for overdosing three months apart
Olanzapine serum concentrations in patient 2 over four days of hospitalisation after the second admission for overdosing three months apart

Figure 3

Olanzapine serum concentrations in overdosed patient 4 over six days with fatal outcome
Olanzapine serum concentrations in overdosed patient 4 over six days with fatal outcome

Figure 4

Olanzapine serum concentrations in a 50-year-old patient who ingested 120 mg of olanzapine
Olanzapine serum concentrations in a 50-year-old patient who ingested 120 mg of olanzapine

Figure 5

Creatinine kinase levels (IU/L) in hospitalised male (a) and female (b) patients with lines representing threshold values (300 IU/L for men and 200 IU/L for women)
Creatinine kinase levels (IU/L) in hospitalised male (a) and female (b) patients with lines representing threshold values (300 IU/L for men and 200 IU/L for women)

Patients with serum olanzapine concentrations above the lethal threshold of 1 mg/L

PatientSexAgeIngested doseTime from ingestion to blood collectionConcentration (mg/L)PSS
1male26about 150 mg6 h3.402
2female261680 mg5 h2.443
unknown>12 h1.753
3female59560 mg3 h1.53*4
4male43unknown>24 h1.183

Serum concentrations of co-ingested drugs (mg/L) during the hospitalisation

DayOlanzapine (mg/L)Clozapine (mg/L)Norclozapine (mg/L)Lamotrigine (mg/L)Midazolam (mg/L)Zolpidem (mg/L)
10.280.290.023.620.210.83
20.420.220.032.19<LOD0.19
30.590.49<LOD2.74<LOD0.15
41.530.68<LOD3.5<LOD0.14
50.310.7<LOD< 1.0<LOD0.06
DOI: https://doi.org/10.2478/aiht-2022-73-3635 | Journal eISSN: 1848-6312 | Journal ISSN: 0004-1254
Language: English, Croatian, Slovenian
Page range: 126 - 130
Submitted on: Feb 1, 2022
Accepted on: May 1, 2022
Published on: Jul 7, 2022
Published by: Institute for Medical Research and Occupational Health
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2022 Snežana Đorđević, Nataša Perković Vukčević, Marko Antunović, Vesna Kilibarda, Gordana Vuković Ercegović, Jasmina Jović Stošić, Slavica Vučinić, published by Institute for Medical Research and Occupational Health
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.